Physician Assist LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA00255 Issued in RI

Legal business name

PHYSICIAN ASSIST LLC

Practice address

35 Broad Rock Rd
Wakefield, RI 02879-1872

Phone

(401) 265-4553

NPI assigned

Dec 28, 2009

Last updated

Dec 28, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael John Cobb, PA-CNPI 1003813866

Title

Owner

Phone

(401) 265-4553

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael John Cobb, PA-C

  • Physician Assistant
  • East Greenwich, RI
  • NPI 1003813866

  Surgical

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1669702569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BROAD ROCK RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028791872",
            "telephone_number": "401-265-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BROAD ROCK RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028791872",
            "telephone_number": "401-265-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-265-4553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "RI",
            "license": "PA00255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda J Petty, RD
• Christine Mary Pfeiffer, CNM
• Benjamin Z Phillips, MD
• Phoenix House of New England
• Phoenix Houses of New England Inc.
• Pier Medical, Inc.
• Nichole Lynn Pinto, APRN
• Nely Maria Pires, LCSW
• Juel H. Plotkin
• Kevin Plummer, PH.D.

• Surgical Physician Assistant in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Surgical Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.